Difference between revisions of "Skin Masses - Ferret"

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==Introduction==
 
==Introduction==
  
The most common cause for a cutaneous mass in the ferret is neoplasia. Abscesses and enlarged lymph nodes are other common causes.
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The most common cause for a '''cutaneous mass''' in the ferret is '''[[Neoplasia - Pathology|neoplasia]]'''. [[Purulent Inflammation|Abscesses]] and [[Lymph Node Abnormalities|enlarged lymph nodes]] are other common causes. All masses that are detected should be '''fully worked-up''' as this allows the '''immediate excision of any neoplastic mass'''. The 'wait-and-see' method should be avoided if possible as the most likely differential is neoplasia.
All masses that are detected should be fully worked-up to rule out an abscess and lymph node hyperplasia. If the mass is found to be neoplastic it should ideally be immediately excised. The 'wait-and-see' methods should be avoided if possible as the mass is likely to be neoplastic.
 
  
 
==Differential Diagnoses==
 
==Differential Diagnoses==
Neoplasia, abscesses and enlarged lymph nodes may produce a mass in or under the skin.
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'''Neoplasia, abscesses and enlarged lymph nodes''' may produce a mass in or under the skin.
The types of neoplasia that can occur are: mast cell tumor or mastocytoma, sebaceous gland adenoma and adenocarcinoma, benign cystic adenomas, fibroma and fibrosarcoma, hemangioma, cutaneous hemangiosarcoma, chordoma, neurofibroma, leiomyoma, histiocytoma, squamous cell carcinoma, basal cell carcinoma, cutaneous lymphoma and melanoma - the most common being benign mast cell tumours, sebaceous gland adenomas and haemangiomas.
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The types of neoplasia that can occur are: [[Mast Cell Tumour|mast cell tumor]] or mastocytoma, [[Adenoma#Sebaceous gland adenoma|sebaceous gland adenoma]] and [[adenocarcinoma]], benign cystic adenomas, fibroma and fibrosarcoma, [[hemangioma]], cutaneous [[hemangiosarcoma]], chordoma, neurofibroma, [[leiomyoma]], [[histiocytoma]], [[Squamous Cell Carcinoma|squamous cell carcinoma]], [[Acanthomatous Ameloblastoma|basal cell carcinoma]], cutaneous [[lymphoma]] and [[melanoma]] - the most common being '''benign mast cell tumours, sebaceous gland adenomas and haemangiomas'''.
  
 
==Clinical Signs==
 
==Clinical Signs==
  
The ferret may present with a mass palpable in or under the skin surface.  
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The ferret may present with a '''mass palpable in or under the skin surface'''. If an abscess is present the ferret may be pyrexic.
  
==Diagnosis==
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==Diagnosis & Treatment==
  
Most ferret neoplasms are benign, but metastasis can occur. Therefore before the mass is excised screening should be performed to check for metastases. Radiography or ultrasound can be used to assess the lungs and liver for metastases and to check for involvement of underlying tissue involvement. If metastases are present then the next steps should be discussed with the owner and chemotherapy and radiotherapy are not successful in treating metastases in the ferret.
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Initially a '''fine needle aspirate''' should be taken of the mass to differentiate between the common causes of cutaneous masses. Treatment then depends on the diagnosis:
  
Following screening, the sample should be surgically excised and sent for histopathological analysis. A diagnosis and prognosis can then be made based on the tumour type. If there is more than one mass present then all the masses should be sent for histopathology as the tumours may be of different types.
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===Neoplasia===
  
[[Category: To Do - Siobhan Brade]]
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Most ferret neoplasms are '''benign''', but metastasis can occur. Therefore before the mass is excised, '''screening''' should be performed. '''Radiography or ultrasound''' can be used to assess the lungs and liver for metastases and to check for involvement of underlying tissue. If metastases are present then the next steps should be discussed with the owner as chemotherapy and radiotherapy are not successful in treating metastases in the ferret.
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Following screening (assuming there is no metastasis), the mass should be '''completely surgically excised''' and sent for '''histopathological analysis'''. A diagnosis and prognosis can then be made based on the tumour type. If there is more than one mass present then '''all''' the masses should be sent for histopathology as the tumours may be of '''different types'''.
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===Abscess===
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The abscess should be suitably '''lanced and drained''' and the ferret treated with appropriate [[antibiotics]].
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===Lymph Node Hyperplasia===
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If the mass is a reactive lymph node then the '''underlying cause''' for this should be identified and treated appropriately.
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==Prognosis==
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'''Prognosis is dependent on the diagnosis'''. If the mass is an abscess the prognosis is good with appropriate treatment. If the underlying cause for lymph node enlargement is identified and treated the prognosis is also good. In the cases of [[Neoplasia - Pathology|neoplasia]], the tumour type, the speed of diagnosis and the presence of metastasis all determine the prognosis. As a general rule, any benign neoplasia that is completely surgically excised should have a good prognosis.
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{{Learning
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|flashcards = [[Small Mammals Q&A 09]]
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}}
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==References==
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Bond, Hendricks, Loeffler (2009) '''Veterinary Dermatology''' RVC Intergrated BVetMed Course, ''Royal Veterinary College''
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Brown, SA & Rosenthal KL (1997) '''Self-Assessment Colour Review Small Mammals''' ''Manson Publishing Ltd''
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{{review}}
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{{OpenPages}}
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[[Category:Expert Review - Exotics]]
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[[Category:Ferret Diseases]]

Latest revision as of 18:30, 26 July 2012


Introduction

The most common cause for a cutaneous mass in the ferret is neoplasia. Abscesses and enlarged lymph nodes are other common causes. All masses that are detected should be fully worked-up as this allows the immediate excision of any neoplastic mass. The 'wait-and-see' method should be avoided if possible as the most likely differential is neoplasia.

Differential Diagnoses

Neoplasia, abscesses and enlarged lymph nodes may produce a mass in or under the skin. The types of neoplasia that can occur are: mast cell tumor or mastocytoma, sebaceous gland adenoma and adenocarcinoma, benign cystic adenomas, fibroma and fibrosarcoma, hemangioma, cutaneous hemangiosarcoma, chordoma, neurofibroma, leiomyoma, histiocytoma, squamous cell carcinoma, basal cell carcinoma, cutaneous lymphoma and melanoma - the most common being benign mast cell tumours, sebaceous gland adenomas and haemangiomas.

Clinical Signs

The ferret may present with a mass palpable in or under the skin surface. If an abscess is present the ferret may be pyrexic.

Diagnosis & Treatment

Initially a fine needle aspirate should be taken of the mass to differentiate between the common causes of cutaneous masses. Treatment then depends on the diagnosis:

Neoplasia

Most ferret neoplasms are benign, but metastasis can occur. Therefore before the mass is excised, screening should be performed. Radiography or ultrasound can be used to assess the lungs and liver for metastases and to check for involvement of underlying tissue. If metastases are present then the next steps should be discussed with the owner as chemotherapy and radiotherapy are not successful in treating metastases in the ferret.

Following screening (assuming there is no metastasis), the mass should be completely surgically excised and sent for histopathological analysis. A diagnosis and prognosis can then be made based on the tumour type. If there is more than one mass present then all the masses should be sent for histopathology as the tumours may be of different types.

Abscess

The abscess should be suitably lanced and drained and the ferret treated with appropriate antibiotics.

Lymph Node Hyperplasia

If the mass is a reactive lymph node then the underlying cause for this should be identified and treated appropriately.

Prognosis

Prognosis is dependent on the diagnosis. If the mass is an abscess the prognosis is good with appropriate treatment. If the underlying cause for lymph node enlargement is identified and treated the prognosis is also good. In the cases of neoplasia, the tumour type, the speed of diagnosis and the presence of metastasis all determine the prognosis. As a general rule, any benign neoplasia that is completely surgically excised should have a good prognosis.


Skin Masses - Ferret Learning Resources
FlashcardsFlashcards logo.png
Flashcards
Test your knowledge using flashcard type questions
Small Mammals Q&A 09


References

Bond, Hendricks, Loeffler (2009) Veterinary Dermatology RVC Intergrated BVetMed Course, Royal Veterinary College

Brown, SA & Rosenthal KL (1997) Self-Assessment Colour Review Small Mammals Manson Publishing Ltd




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